Registration Form

Name:
Surname:
Address:
City:
Country: Code:
Nationality: Passport number or identity card:
Date of Birth: Profession:
Telephone: Sex:
E-Mail: Fax:

Have you enrolled in a Colegio de Estudios Hispanicos course before?
 yes no

How did you hear about the C.E.H. courses?
 Internet University Friends Embassy Others

What is your level of Spanish?
 None Elemental Intermediate Advanced

Course

 A: Intensive Spanish Language Course B: Intensive Spanish Language and Culture Course C: Highly Intensive Spanish Language and Culture Course D: Special Course in Preparation for D.E.L.E. E: Commercial Spanish Course F: Intensive Spanish Language Course for Young People G: Special Course for Teachers of Spanish H: Intensive Spanish Language Course for Groups of 4 People I: Intensive Spanish Language Course for the Adults (50+)  J: Translation and Analysis of Texts K: Individual Course  L: Intensive Spanish Language Course + Latin Dance M: Intensive Spanish Languaje+ Golf N: Special Course for Entering University in Spain (Selectividad)
Duration (in weeks)::
Starting:
Finishing:

Accommodation

 Spanish family University Residence Shared student apartment Apartament (not sharing) No acommodation required Type of Room: Individual room Shared room
Board options:  half board full board
Date of arrival from Salamanca:
Date of departure from Salamanca:
Do you require pick up service from the Airport: 
  No Yes, on arrival only Yes,on arrival and departure
Flight Nº: Airline Company: Time of arrival:

Payment Methods
 Postal order Bank Transfer

Postal order: Bank Transfer
Colegio de Estudios Hispánicos

C/ Bordadores, 1

37002 Salamanca (SPAIN)

Iban: ES472096056010367535 6100

Swift/Bic: CSPAES2LXXX

CAJA ESPAÑA

C/ Zamora, 39 37002 Salamanca (SPAIN)

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In case of emergency please contact:
Telephone number: E-mail:
Observations:

 I accept the general conditions. General Conditions